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File No. Name And Address Of Plaintiff NO-CONTACT ORDERFOR STALKING OR NONCONSENSUAL SEXUAL CONDUCT G.S. 50C-7 1. The defendant committed acts of unlawful conduct against the plaintiff. 2. The plaintiff has failed to prove grounds for issuance of a no-contact order. It is ORDERED that: 1. The defendant shall not visit, assault, molest, or otherwise interfere with the plaintiff. 2. The defendant cease stalking the plaintiff. 3. The defendant cease harassment of the plaintiff. 4. The defendant not abuse or injure the plaintiff. 5. The defendant not contact the plaintiff by telephone, written communication, or electronic means. 6. The defendant not enter or remain present at the plaintiff’s residence, school, place of employment, and other places listed below at times when the plaintiff is present. STATE OF NORTH CAROLINA County In The General Court Of Justice District Court Division Name And Address Of Defendant VERSUS This matter was heard by the undersigned district court judge, the court has jurisdiction over the parties and subject matter, and the defendant has been provided notice of the hearing. The Court hereby �nds that: 1. (If this block is checked, skip to the Order portion of the Order.) This Order is entered by default for the remedy sought in the complaint because the defendant failed to �le an answer appear at this hearing and the allegations in the complaint are suf�cient to justify a no-contact order for stalking or nonconsensual sexual conduct. 2. Present at the hearing were: the plaintiff, represented by . the defendant, represented by . 3. The plaintiff has suffered unlawful conduct by the defendant in that: 4. Other: FINDINGS CONCLUSIONS ORDER List Other Places Where Defendant Ordered Not To Be (Over) AOC-CV-524, Rev. 4/17 © 2017 Administrative Of�ce of the Courts 7. Other: (specify) 8. The terms of this Order shall be effective until one (1) year from the date of this Order. (specify date and time if less than one year) . 9. The Order is denied and the case is dismissed. Name Of District Court Judge (type or print) Date Time Signature Of District Court Judge AM PM NOTICE TO DEFENDANT: A KNOWING VIOLATION OF A CIVIL NO-CONTACT ORDER SHALL BE PUNISHABLE AS CONTEMPT OF COURT, WHICH MAY RESULT IN A FINE OR IMPRISONMENT. THE COURT MAY FIND YOU IN CIVIL OR CRIMINAL CONTEMPT. Signature Of Clerk Date Deputy CSC Assistant CSC Clerk Of Superior Court I certify this Order is a true copy. NOTE TO CLERK: G.S. 50C-9 provides: “The clerk of court shall deliver on the same day that a civil no-contact order is issued, a certified copy of that order to the sheriff.” The statute also provides that a copy of the order shall be issued promptly to the police department of the municipality of the victim’s residence, or the sheriff and any county police department if the victim does not live within a municipality with a police department. CERTIFICATION I certify that this No-Contact Order For Stalking Or Nonconsensual Sexual Conduct was received and served as follows: RETURN/CERTIFICATE OF SERVICE WHEN DEFENDANT NOT PRESENT AT HEARING Name Of Defendant Date Served Time Served AM PM By delivering to the defendant named above a copy of this Order. By leaving a copy of this Order at the dwelling house or usual place of abode of the defendant named above with a person of suitable age and discretion then residing therein. Name And Address Of Person With Whom Copies Left By mailing a copy of this Order to the defendant by registered mail. certi�ed mail (return receipt). designated delivery service. Defendant WAS NOT served for the following reason. Signature Of Deputy Sheriff Making Return County Of Sheriff Date Received Date Of Return Date Mailed Name Of Sheriff (type or print)Signature Of Clerk Deputy CSC Assistant CSC Clerk Of Superior Court NOTE TO CLERK: G.S. 50C-9(b) provides: “If the [defendant] was not present in court when the order was issued, the [defendant] may be served in the manner provided for service of process in civil proceedings in accordance with Rule 4(j) of the Rules of Civil Procedure.” AOC-CV-524, Side Two, Rev. 4/17 © 2017 Administrative Of�ce of the Courts